Individual
DR. PETER STANTON DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
192 WESTBROOK RD, ESSEX, CT 06426-1511
(860) 767-1200
(860) 767-3031
Mailing address
192 WESTBROOK RD, ESSEX, CT 06426-1511
(860) 767-1200
(860) 767-3031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33140
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001292448001
UNITED HEALTHCARE
—
05
—
001331404
—
CT
01
—
010033140CT03
ANTHEM BCBS
CT
01
—
050463
CONNECTICARE
—
01
—
0614533610001
CIGNA
—
01
—
0V1563
OXFORD
—
01
—
1417970708
NPI
—
01
—
4407476
AETNA
—
Enumeration date
10/01/2007
Last updated
05/07/2024
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